MID COUNTY DIAGNOSTICS INC NPI 1396881363

NPI Information

NPI: 1396881363
Provider Name: MID COUNTY DIAGNOSTICS INC
Classification: Radiology - 2085N0904X
Entity Type: Organization

Specialization: Nuclear Radiology

Address:
2501 JIMMY JOHNSON BLVD., SUITE 500
PORT ARTHUR, TX
ZIP 77640
Phone: (409) 723-6605
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MID COUNTY DIAGNOSTICS INC is a nuclear radiology radiology in Port Arthur, TX. The provider is a radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease. MID COUNTY DIAGNOSTICS INC NPI is 1396881363. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2501 JIMMY JOHNSON BLVD., SUITE 500
PORT ARTHUR, TX
ZIP 77640
Phone: (409) 723-6605

The provider's authorized official is Srinivasa Rao Kothopalli .
The authorized official title is Owner and has the following contact phone number (409) 723-6605.

The enumeration date for this NPI number is 1/29/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085N0904X	Radiology	Nuclear Radiology			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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